Active NPI
Mission Cardiovascular Consultants
- Vascular Surgery Physician
- New Braunfels, TX
National Provider Identifier
1194852418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- Q1864
- Legal business name
- MISSION CARDIOVASCULAR CONSULTANTS
- Practice address
- 1626 Common St
New Braunfels, TX 78130-3156 - Phone
- (830) 620-1272
- Fax
- (830) 620-1274
- NPI assigned
- Feb 27, 2007
- Last updated
- Sep 11, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Darla Betts
- Title
- Office Adminstrator
- Phone
- (830) 620-1272
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Vascular Surgery Physician | 2086S0129X | Q1864 | TX | Primary |
Addresses
Primary practice location
1626 Common St
New Braunfels, TX 78130-3156
Mailing address
PO Box 949
La Grange, TX 78945-0949
Phone (830) 620-1272
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 079747402 | Medicaid | TX |
Other names 1
- NEW BRAUNFELS CARDIOLOGY
National Provider Directory
National Provider DirectoryLocations
41651 FM 3159
#B
Canyon Lake, TX 78133
Phone (830) 620-1272
12315 Judson Rd
Ste 304
Live Oak, TX 78233
Phone (210) 477-5248
1626 E Common St
New Braunfels, TX 78130
Phone (830) 620-1272
730 N Houston Ave
New Braunfels, TX 78130
Phone (830) 620-4540
Practitioners & affiliated clinicians
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Interventional Cardiology Physician
- Live Oak, TX
- NPI 1548377088
-
- Cardiovascular Disease Physician
- Live Oak, TX
- NPI 1548211477
-
- Interventional Cardiology Physician
- Joplin, MO
- NPI 1689600850
-
- Cardiovascular Disease Physician
- Honolulu, HI
- NPI 1184694432
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1505088000000",
"number": "1194852418",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "LA GRANGE",
"state": "TX",
"postal_code": "789450949",
"telephone_number": "830-620-1272",
"fax_number": "830-620-1274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1626 COMMON ST",
"city": "NEW BRAUNFELS",
"state": "TX",
"postal_code": "781303156",
"telephone_number": "830-620-1272",
"fax_number": "830-620-1274"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MISSION CARDIOVASCULAR CONSULTANTS",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-27",
"last_updated": "2017-09-11",
"status": "A",
"authorized_official_last_name": "BETTS",
"authorized_official_first_name": "DARLA",
"authorized_official_title_or_position": "OFFICE ADMINSTRATOR",
"authorized_official_telephone_number": "830-620-1272",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "TX",
"license": "Q1864",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "079747402",
"state": "TX"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "NEW BRAUNFELS CARDIOLOGY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in New Braunfels, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.